Permit •
CITY OF TIGARD MECHANICAL PERMIT
COMMUNITY DEVELOPMENT Permit #: MEC2012 -00091
13125 SW Hall Blvd., Tigard OR 97223 503.718.2439 Date Issued: 02/16/2012
TIGARD g Parcel: 2S114BB03400
Jurisdiction: Tigard
Site address: 10125 SW KENT PL
Project: Snyder Subdivision: PICK'S LANDING NO.1 Lot: 48
Project Description: Add a/c unit. Placement of unit must meet minimum 5' rear and side yard setbacks.
Contractor: ROTH HEATING & COOLING Owner: SNYDER CONSTRUCTION LLC
PO BOX 1265 PO BOX 595
CANBY, OR 97013 CANBY, OR 97013
PHONE: 503 -266 -1249
PHONE: 503 - 341 -8079
FAX: 503 - 266 -3478
FEES
Specifics: Description Date Amount
Air Conditioning - 02/16/2012 $46.75
Type of Use: SF 12% State Surcharge - Mechanical 02/16/2012 $10.80
Class of Work: ALT Type of Const: Minimum Fee Adjustment - Mechanical 02/16/2012 $43.25
Occupancy Grp:
Stories:
Fuel
Fuel Types:
Gas Pressure:
Total $100.80
Required Items and Reports (Conditions)
This permit is issued subject to the regulations contained in the Tigard Municipal Code, State of OR. Specialty Codes and all other
applicable law. All work will be done in accordance with approved plans. This permit will expire if work is not started within 180 days of
issuance, or if work is suspended for more the 180 days. ATTENTION: Oregon law requires you to follow the rules adopted by the Oregon
Utility Notification Center. Those rules are set forth in OAR 952 - 001 -0010 through OAR 952 -001 -0090. You may obtain a copy of the rules
or direct que • •UNC by calling 503.232.1987 or 1.800.332.2344.
Issued : y: !' , Permittee Signat / 5.."4/14::"Ide"
• Call 503.639.4175 by 7:00 a.m. for the next available inspe ion date.
This permit card shall be kept in a conspicuous place on the job site until completion of the project.
Approved plans are required on the job site at the time of each inspection.
FEB -16 -2012 THU 12:28 PM ROTH HEATING FAX NO. 5032663478 P. 01
Mech anica l Permit A location i FOR ()1 IFI(I util�; ()NI.A'
)Re eived n � i'enuitNo .: �� �,q/
City of Tigard °p. �By o c l� /asli� •�o
IN
" 13125 SW Hull Blvd., Tigard, OR 97223 P lnn It�N 1aW
FEB
1 2012 OtltcrPermil:
Phone: 503.718.2439 I "ax; 503.598,1960 Datnl[l
Inspection Line: 503.639.4175 Date Ready /Byt tuns: 0 See Pago 2 for
l' I i It ti p �.���`�� n lind/Mcthod; Sappleu"e""tai lnfnrm:"uon
Internet: www.ti�urcl- or.gov "!`' 3-�aF TlGAa 5LJ Noti —•
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r r� ti 'r! rr', r. 1 n ' . �_Yy.� i"'U • + 'al 4bG r%�; , + ' G, . tlz,. '/It r +' 1�N�Ai . . 1 1 4 k 4 i 0 ..
Yj 'war ", 'f" t! y. t�, 1
k'- � 'P �,:ay'4r� 11% ; a'� � 1K . la, � M5 - 6 Y%m'ip � .;lbW . ,"7S:�tp7 'n ii .. I �.,..f,. r'e' r °rl arpQ! 'b���l?!t':!:.Yt; Mach s* ure based on the value of the work
4.,.. M A r rt. rJ e 1 , s {fl ;E..,frl.'.
New construction ' Addition /alteration /rep nned, Indicate fees*
lacement performed, indicate uta: value (rounded to the ne.3rest dollar) of all
• ❑ Other:
mechanical materials, B r, verhead, and profit.
0 Demolition
nd ro'
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me�lt't cquapmen labor, u
Value: $
nt „ t r a A f r�+fh�tcmn'r �.. �n�.F w.•a dd 1 6 tl iirii i
I;.hr; l �:� l,, , •
„: X r, ..,r r�..bpi , vitr!. ,.,. ".,e �Ato ,.1.. ! t� 4 b•�5fi<c`.1.s aw;r ",''1 `t1 1�t i, }''' 4;.:± ;:rj,MSU M 1 11 ' N.V�' .1.408 S . 4 Nkic:i"
zi 1- and 2- family dwellin ❑ Commercial /industrial ❑ Accessory building Description Par special information l u e c cckllst. Total
ID Mulls lamely ❑ Mastes•builder Other
r+ , rz r• n , uurti p A ., , y r V( � e �� 'r �i , [icatinI /COOliaa -:
y114� w k } a 1 'I �' 7 71 �N �� j ^1 r ; r . ' �i+l , N 'µ.,.li4a ,?,.Gil i' Air conditioning
Job site a dd r ess: 10 •25 S 4�1t' )\ Q%, ( , t. (requires site shin showin il'rceaacnt) 1 46.75 4 b •15
_ Furnace 100.000 13TU (ducts /vents) 46,75
City/State/ZIP: "•'\ c 1 0. c1" 2,2 Furnace 100,000+ BTU (duels /vents) 54.91
Suite/bldg./apt. no.: !teal: pump Project name: (requires silo plan showing plaeemer1 61.00
Cross street/directions to job site: _ Duct work 23'32
I•lydronio hot water system 23.32
— Residential boiler (radiator or
hydronic't _ 2332
—. Unit heaters (fuel -type, not electric),
in -wall, in -duct, suspended, etc. 46,75
Flue /vent for any of above 23.32
Subdivision: Lot no.: 23.32
Other:
Tax map /parcel no r��`1 yy Other fuel appliances: _
r y, r Y P I�l).. r0. r 0�. X ' l $' t „ utg',,( ,011 11 1 d baI r I An , ,� da,i water hailer 2332
n i 1 t'u' � i t; ",t ,r wti "1„ " ° it s 9 � , r x r ¢' _ 3339
Gas fireplace -
1� Q (k� - Flue vent for water heater or gas
1 Grcplace •_. 23,37- ,
Log lighter (gas) 23.32
Wood /pcIct stove 3339
- Wood fireplace /insert 23.32
,'µ a i - ''t',' a�. Chim
ie.., ne /Iinc /ffue/vrnt -
3 32
'� r �
: 4r, F o . �, isti 1 yy, ' �7�"�i�, Y'!�'� i Y t 4r' t� P ' � i �� i Y� 1 , ,, 4, ,:.,, 5 r id',i ,.
)di1 ", is ,S S a i1 li �, �bd,v, u r y'rr r.,l'•� rot ,0'7 l.,l1A1 qi •or,1 Y {, _ Other: 23.32
Name: . _ Environmental exhaust and ventilation:
Range (rood /other kitchen
Address: equipment _ 33.39
City/State /ZIP: Clothes d 'er exhaust _ 33.39
Single -duct exhaust (bathrooms,
Phone: ( ) Fax ( ) toilet compattntents utility rooms) ,. 23
`$ 4 b ' "j'� '^ "� , rr , r I r . r { ^' Attic /crawlspaee Fans 23,32
kr'9 ". : ! 11; ':i 1d nitZ04 ! O )'t ` ", j4�•r',a,ba, 1 . r 410 i, ` 1; ! • llllFeTti!tl
Other: 23.32
Business name; Y - t y &e r c"„QrlSt l)4 1 l(� L Fuel i inl;: _
Contact name: O.C Y1 d [k, r X14.15 for first roily; $4.03 fur each additional
C Furnace, Mu. Address: ` 02— �( 1(1 S oo .._- -- Gas heat pump
City /State /Z1P: QCL n /�. it a( I 1 Wall/suspended/unit heater �
�` ' Fax: : ( ) Water heater
Phone: r+ -"-" (,•• _ `` I a Fireplace _ .-
r -mad Range
i n y1 . ;'r to Kd�`4�Bt`P '(Nr': /kJ ou' ''' r ^^,a 44 aytY'.r4 )aAI � ;; 1 r f 'r'''i r4 ri')ii BurbeeuC
, .•r .nr r 11. d, >ti* 1 r, !l, r.rr•,Lrn4dvak l;felpff .' . 0:i* r.A r v ? ,q,r.' �,, i k,',i' M ' ' i
1 clothes di er ( as)
Business name: j t &Ai r ' t r1 `,,5, v — Other:
Address: P(3 46DX I h la^J]'r£ ».t( it 'a m ''t,t ,1 0 ■ 1 :` 4 1:"
Si Subtotal j
ty .1
City /State /ZIP: �•. l 0 I3 • Minimum permit fee ($90.00) Ci ta" 00
Phone: (9Z) 2 U • (41 Fax: (5O3' 2 1 (p- . , Szr ' S Plan review (25% of permit fee)
CCB lie.; I Lf ' r V 2, - State surcharge (12% of permit fcc) Ell
TOTAL PERMIT FEE t 11.0
This permit application expires if it permit is nut obtained within 1811 .
Authorized signature: 1 , . e . /. ,; ' /1 days after it has been accepted ns complete. #
► Date: ` , (k * Fee methodology Set by Tri- County Building Indusl Service Board
- Print name: AAA_ , ..A .
4do-4617rt11 /Oa/COM/WGPI
FEB -16 -2012 THU 12:28 28 PM ROTH HEATING FAX NO. 5032663478 P. 02
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